Individual
MR. DENNIS MARTIN SLOVACEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1400 E IRELAND RD, SOUTH BEND, IN 46614-3452
(574) 231-8258
Mailing address
2270 W 400 N, CRAWFORDSVILLE, IN 47933-6103
(762) 362-6482
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051026948
IL
183500000X
Pharmacist
Primary
26091690A
IN
Other
Enumeration date
02/09/2012
Last updated
02/09/2012
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